Director Accounts Receivable Insurance

ESSENTIAL FUNCTIONS

• Lead and manage a team of patient account representative staff including hiring, training and performance management. The scope of work for A/R staff is any accounts receivable work efforts once a claim is billed to an insurance payer.
• Ensures performance, productivity and quality metrics are in place to drive effectiveness and efficiency in areas of responsibility.
• Monitors aging for early warning indicators of potential revenue loss and creates and executes plans to confront and minimize where possible.
• Demonstrates strong leadership guidance with internal business partners, payers government entities and stakeholders to speak confidently and accurately on A/R flow.
• Develop and implement strategies that are best practice in A/R management to optimize cash flow, cash velocity, quality in follow up efforts and leverages best practices in system automation.
• Promote strong cooperation and alignment across internal departments. Utilize advanced analytics to drive revenue cycle optimization work and to focus on highest priorities.
• Serve as subject matter expert about insurance A/R and remain aware of organizational changes that may impact initiative success, and continuously adapts and works with leaders to account for any impact resulting from these changes.
• Gathers necessary data and information for informed decision making on benefits and risks of goals and objectives.
• Embraces being a revenue cycle expert by staying apprised of industry trends, risks and innovation.
• Build, promote, and encourage a positive culture with team engagement, leadership development, employee recognition and support to overcome hurdles.
• Participate in various ad-hoc revenue cycle optimization initiatives as assigned.

EDUCATION

• Bachelors degree in business majors, preferred.
• Experience will be considered in lieu of education.

EXPERIENCE

• 5+ years' experience in revenue cycle management operations with a progressive track to a leadership role.
• 3+ years experience in a predominantly revenue cycle services model of shared services, outsource or cosource billing models or third party billing
• 4+ years' experience in operational planning, operational excellence, change management or similar experience

REQUIREMENTS

• Travel up to 5% of the time to stakeholder markets in the US
• Meeting facilitation both virtually and in person
• Creating and presenting operational outcomes
• Gathering and organizing meaningful market stakeholder data

KNOWLEDGE

• Strong knowledge of healthcare billing claim operations and payment models.
• Understanding of healthcare insurance
• Knowledge of customer service best practices
• Knowledge of implementation planning and execution with systems and processes

SKILLS

• Communication: Communicates well, both verbally and in writing with strong conflict resolution skills in both
• Team building: Motivates others and works well with a team
• Decision making: Can make quick and informed decisions, even when all the necessary information isn't available
• Emotional intelligence: Can understand, manage and express emotions dependent on the situation and recognize appropriately the emotions of others.
• Business acumen: Uses company resources efficiently and in line with the organization's goals
• Risk management: Can assess risks and know when to take them
• Interpersonal skills: Can work well with others
• Leadership development: Can lead others and drive business growth

ABILITIES

• Effective time and reputation management

This role must be able to manage their resources wisely, prioritize and gain respect within the organization

• Implement strategies

This role must be able to implement strategies to help the organization succeed

• Develop long-term plans

This role must be able to think long-term and create plans to help the organization grow

• Align with company goals

This role must have the ability to think creatively on self-driven initiative to make sure their plans align with the company's goals and vision

• Communicate effectively

This role must be able communicate well with their teams and other stakeholders even under pressure

• Empathize and negotiate

This role must be able to empathize with others, negotiate, and compromise calmly with a focus on problem solving

• Analyze data

This role must be able to collect, analyze, synthesize and interpret data from a variety of sources

• Make decisions

This role must be able to make decisions in an efficient time frame

ENVIRONMENTAL WORKING CONDITIONS

• Primarily remote in nature with travel to HOPCo offices and sites

PHYSICAL/MENTAL DEMANDS

• Sitting for long periods of time.
• Stress from competing priorities, financial pressure and escalated expectations

ORGANIZATIONAL REQUIREMENTS

• HOPCo Mission, Vision and Values must be acknowledged and adhered to
• List additional organization requirements such as training conducted by organization

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.